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Governor's Award of Excellence Nomination Form

  • Company Information Being Nominated

  • Note: Examples of Retail businesses include banks, restaurants and antique shops. Examples of Service businesses include advertising and marketing agencies, commercial feed yards and law firms.
  • (this description will be used in additional materials)
  • Nominating Organization Information

  • Judging Criteria

  • Examples included training and education programs, flexible schedules, life/work balance programs, mentoring and career advancement opportunities.
  • Name/Type of AwardPresented ByYear Received 
  • How does the business support local activities? (please list as many as possible and provide examples.)
  • How does the business support local activities?

    Please list as many as possible and provide examples.
  • Drop files here or
  • Note: For all finalist companies, a review will be made by the Department of Commerce to perform a tax clearance with the Kansas Department of Revenue and to confirm registration with the Kansas Secretary of State.
  • This field is for validation purposes and should be left unchanged.

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Amy Selm Assistance Team Manager Email (785) 296-3074 LinkedIn

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